摘要
随着人口老龄化进程的加剧,股骨转子间骨折逐渐成为我国又一重大社会健康问题。目前内固定仍然是治疗股骨转子间骨折的"金标准"。骨折复位是股骨转子间骨折内固定治疗的第一步,也是影响治疗效果的第一要素。如何评价股骨转子间骨折内固定治疗过程中的骨折复位质量,目前临床上仍存在争议。本文从骨折对线、骨折对位、不同判断标准、不同影像学方法等几个方面系统阐述和分析7种股骨转子间骨折复位质量的判断标准,以期为取得共识、提高疗效提供参考。
With accelerated aging process of the population,femoral intertrochanteric fractures have gradually become another major social health problem in China.Internal fixation is still the gold standard treatment for the fractures.Fracture reduction is the first step of the treatment and also the first element that affects the treatment efficacy.It is still controversial in clinical practice how to evaluate the quality of fracture reduction during internal fixation of the fractures.This article systematically expounds and analyzes the 7 systems of judging criteria for the reduction of intertrochanteric fractures from the aspects of fracture alignment,fracture apposition,difference in judgment criteria,and difference in imaging methods,in order to provide a reference for reaching consensus and improving curative effects.
作者
李世杰
杜守超
张世民
Li Shijie;Du Shouchao;Chang Shimin(Department of Orthopaedic Surgery,Yangpu Hospital,Tongji University School of Medicine,Shanghai 200090,China)
出处
《中华创伤骨科杂志》
CAS
CSCD
北大核心
2022年第9期793-798,共6页
Chinese Journal of Orthopaedic Trauma
基金
国家自然科学基金面上项目(81772323)。
关键词
髋骨折
骨折对线
骨折对位
复位
判断标准
Hip fractures
Fracture alignment
Fragment apposition
Fracture reduction
Criteria for judgment
